Organization
NUVEEN COSMETIC & RECONSTRUCTIVE SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIK JON NUVEEN M.D., D.M.D. (PRESIDENT)
(405) 842-6677
Entity
Organization
Contact information
Practice address
2100 NW 63RD ST, OKLAHOMA CITY, OK 73116-5111
(405) 842-6677
(405) 842-6678
Mailing address
2100 NW 63RD ST, OKLAHOMA CITY, OK 73116-5111
(405) 842-6677
(405) 842-6678
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
23411
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I20492
UPIN
OK
Enumeration date
01/07/2008
Last updated
01/07/2008
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